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General NPI Number Information
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NPI Number | 1053158139
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Entity Type | Organization
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Legal Business Name | ALL CARE WELLNESS CENTER
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Dates
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Enumeration Date | 07/15/2024
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 732 S 6TH ST STE 4459
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City | LAS VEGAS
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State | NV
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Zip | 89101-6948
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Country | US
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Telephone | 775-307-1304
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Fax |
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Provider Business Mailing Address
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Address Line | 1363 W OWENS AVE
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City | LAS VEGAS
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State | NV
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Zip | 89106-2432
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | PHYLLIS TELLIS
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Credential |
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Telephone | 775-307-1304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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